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Table 2 Effect differences (95% confidence interval) between treatments on exacerbation rate [13, 15, 19, 33,34,35,36,37,38,39,40,41,42]

From: Monoclonal antibodies in type 2 asthma: a systematic review and network meta-analysis

Treatment

Placebo

Benralizumab

Lebrikizumab

Dupilumab

Mepolizumab

Tralokinumab

Reslizumab

Tezepelumab

Placebo

 

0.485 (− 0.132, 1.080)

0.903 (− 0.278, 2.380

0.903 (− 0.571, 2.570)

0.485 (− 0.797, 1.750)

0.755 (− 0.933, 2.640)

0.589 (− 1.100, 2.280)

1.170 (− 0.678, 3.150)

Benralizumab

−0.485 (− 1.080, 0.132)

 

0.445 (− 0.850, 1.870)

0.439 (− 1.120, 2.070)

−0.019 (− 1.300, 1.380)

0.283 (− 1.490, 2.130)

0.100 (− 1.620, 1.870)

0.697 (− 1.170, 2.670)

Lebrikizumab

−0.903 (− 2.380, 0.278)

−0.445 (− 1.870, 0.850)

 

0.006 (− 1.950, 1.760)

− 0.483 (− 2.110, 1.280)

−0.172 (− 2.180, 1.920)

−0.361 (− 2.390, 1.720)

0.258 (− 1.950, 2.460)

Dupilumab

−0.903 (− 2.570, 0.571)

−0.439 (− 2.070, 1.120)

−0.006 (− 1.760, 1.950)

 

− 0.472 (− 2.330, 1.530)

−0.164 (− 2.390, 2.160)

−0.347 (− 2.430, 1.740)

0.258 (− 2.070, 2.760)

Mepolizumab

−0.485 (− 1.750, 0.797)

0.019 (− 1.380, 1.300)

0.483 (− 1.280, 2.110)

0.472 (− 1.530, 2.330)

 

0.317 (− 1.750, 2.320)

0.122 (− 1.980, 2.150)

0.709 (− 1.580, 2.980)

Tralokinumab

−0.755 (− 2.640, 0.933)

− 0.283 (− 2.130, 1.490)

0.172 (− 1.920, 2.180)

0.164 (− 2.160, 2.390)

−0.317 (− 2.320, 1.750)

 

− 0.188 (− 2.620, 2.230)

0.408 (− 2.000, 2.970)

Reslizumab

− 0.589 (− 2.280, 1.100)

−0.100 (− 1.870, 1.620)

0.361 (− 1.720, 2.390)

0.347 (− 1.740, 2.430)

−0.122 (− 2.150, 1.980)

0.188 (− 2.230, 2.620)

 

0.604 (− 1.810, 3.090)

Tezepelumab

−1.170 (− 3.150, 0.678)

− 0.697 (− 2.670,1.170)

−0.258 (− 2.460, 1.950)

−0.258 (− 2.760,2.070)

−0.709 (− 2.980, 1.580)

−0.408 (− 2.970, 2.000)

−0.604 (− 3.090, 1.810)

 
  1. Table showing the effect differences detected between all agents compared to placebo, all effect differences were not statistically significant and had wide confidence intervals, and therefore no agents could prove superior to another. The studies on IL-5 pathway agents included patients with a relatively higher number of exacerbations, due to selecting patients with a history of exacerbations and documented eosinophilia, which should be taken into account when interpreting their compared effects. No agent could prove superior to another in these indirect head to head comparisons